Adult Intake Packet

If you are a new patient, please fill out all of the forms and bring them with you to your appointment along with your insurance card and drivers license. Paperwork can be emailed to you prior to your initial appointment. Please return all paperwork prior to your initial appointment if possible. Thank you. 

Child & Adolescent Intake Packet

If you are a new patient under the age of 18, please fill out these forms, as well as the "DSM Child Form" and bring them with you to your appointment along with your insurance card. Paperwork can be emailed to you prior to your initial appointment. Please return all paperwork prior to your initial appointment if possible. Thank you.

DSM Child & Adolescent Form
(complete prior to initial appointment)

Telehealth Policy

Please fill out both the Teletherapy Policy & Teletherapy Consent forms and return them to our office prior to your appointment. Thank you.

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Teletherapy Consent Forms

Please complete and return all forms to our office prior to your appointment. All forms can be emailed or dropped off to our office. Thank you.

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Insurance

The following is the list of insurances with which we participate. This list will be updated from time to time as needed:

Allied National
Ambetter of Tennessee
Aetna
Amerigroup
Benefit Administrative Systems
Anthem/BCBS
Caresource
Cigna 
Cigna Behavioral Health
GEHA
KEPRO
Magellan
Medicare
Meritain Health
Military One Source
Novanet
Peachstate
TLC Benefit Solutions
Tricare
UMR
United Health Care
Wellcare
GA Crime Victims Comp
Several EAP Plans

*Insurance participation varies amongst EnSpire Counseling & Wellness providers,  please be sure to verify participation with your insurance prior to your visit.*
 - You should always check with your EnSpire Counseling & Wellness provider to verify plan and product coverage as this is not an exhaustive list, and plans change frequently.
ALL COPAYMENTS/DEDUCTIBLES ARE DUE AT THE TIME OF SERVICE. 

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